Feeling Scared and Hopeless
Hello,
I need to begin by saying that I have not yet been diagnosed with any form of H&N cancer. I have been reading this board for several weeks, and I am amazed and deeply moved by the truly inspiring and heartbreaking stories I have read on here. You have all been through so much and are an inspiration to everyone who hears your story.
As for me, I feel like I am caught in a horrible limbo. I am very concerned that I may have tonsil cancer. About 4 years ago I noticed a slightly enlarged lymph node (pea-sized) pop out about halfway down the right side of my neck. It is totally painless and a bit squishy, but easily felt. For the past 3.5 years I have had painful aching and fullness in my right ear. At times, it has been bad enough to wake me up at night when I've fallen asleep on my right side. About two years ago, I noticed that my right tonsil is noticably larger that my left and frequently aches. When I have a cold/sore throat, my right tonsil is far more painful and swollen than my left and takes longer to heal. My lower jaw at the back near my ear is also tender to the touch and aches. I also have a feeling of numbness and tingling running through the right side of my face and pressure behind my right eye.
In 2014, I saw a local ENT (the kind that mostly sees kids) about the lump in my neck and the pain in my right ear. I was scoped, but no further tests were done. I was told the lump was harmless and my ear pain was caused by eustachian tube dysfunction. A couple of months later, I went to a second local ENT for a second opinion. He also said the lump was harmless. I specifically asked if it should be biopsied. He said he could, but it would only be for "anxiety reasons". I felt silly for wasting their time and tried to get on with my life. A year later, in 2015, the right tonsil pain became noticable. I went back to the second ENT very worried about the possiblity of cancer. He scoped me, said I looked perfectly fine but relunctantly agreed to order a CT scan. Unfortunately, my insurance denied it due to a "lack of medical reason". I tried again by seeing my general doctor. He also tried ordering the CT scan, but it was denied again. I gave up and tried to feel reassured with their continued opinion that I was "fine".
Now it's 2017 and I'm more terrified than ever. My tonsil aches daily and is quite large compared to the left side (so tiny it's almost invisible. that's normal for me). The ear pain is constant, and I occasionally have ringing in that ear. The facial numbness and jaw pain continues daily. I tried again in April and saw an ENT with St. Louis University. He scoped me and said I looked fine. He diagnosed me with migraines. I asked about my throat, but he said he didn't see anything. In desperation, I saw another ENT at SLU a few weeks later. This time I finally got an appt. with a Head & Neck specialist who regularly treats oral cancer patients. I told him everything. He told me I needed to stop seeing so many doctors. He examined me, but did not scope me or order any tests. He diagnosed TMJ and told me to get acupuncture. I have done that, but it did nothing for my symptoms. The acupuncturist was very surprised the treatment didn't work because it usually does for TMJ patients. She, too, recommended I have a scan to be sure. She is also an RN.
This brings me to today. I am terrified. For the past two months I have been unable to eat or sleep. I am convinced I have tonsil cancer, but none of the doctors will scan me or biopsy me. My symptoms continue to get worse. My throat and ear hurt daily. I can't see anything suspicious except that my right tonsil is bigger. I also have pain behind my right shoulder blade when I breathe/cough, and my back hurts in several places along my spine, which only adds to my anxiety.
I have one last appointment with the H&N specialist this Friday. I am going to beg for a biopsy and/or CT scan. It has been over 4 years since I first became worried about the lymph node (still there, hasn't changed) and over 3 since my ear pain began. My husband is at his wits' end with me. The fear is crippling. I cannot concentrate at work, can't eat or sleep. Have I waited too long? How can I convince this doctor to biopsy me? I'm sorry for taking up your time with this long post, especially when I haven't actually been diagnosed with anything. Please know that I take seriously the personal battles with this disease each of you have faced. I am not usually this riddled with anxiety. I just KNOW something is wrong with my body. I know this isn't normal. I just need someone to take me seriously. Any advice would be very much appreciated. Thank you for listening.
Comments
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just a thought
If what's going on with your tonsil, was indeed cancer, you wouldn't be still worrying, you would be dead. Not trying to be harsh, but, when you have this next appointment, tell the oncologist about your on going fright. Possibly, he can direct you to who you need to see.
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It's OK. Fear can be crippling
But don't let it overtake you. It seems to me that if you had this pain for 35 years your would be really, really sick, and most likely not here on Earth. But, I get the need for someone to tell you that you do not have cancer. It sounds like a lot of doctors have indeed told you that you probably do not have cancer. We are the ones that know our bodies and we know when something is not right. I agree with Grandmax4 and make sure to express your fear. Also, because when we are scared our thoughts become muddled. Write everything down, every symptom, every dr you have seen, the outcome of said visits, etc... then you present your fears and concerns in a clear and concise manner.
Prayers for you and remember no matter what you WILL be OK. You are OK right now.
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I second Grandmax4
Many of us have no real symptoms when diagnosed. My husband simply had a lump on his neck. The doctors know what they are looking for. You may have something going on, but it's very unlikely to be cancer. As Grandmax4 said ... if it were cancer, by now you would not be wondering. It would be obvious or you would not even be here. I completely understand health anxiety as I have been there myself. It is very real and it is crippling.
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In a few months you would
In a few months you would tell for sure if this were Cancer or not. Not years. From the time symptoms start, Cancer advances quickly, it takes just months to double etc. (note that division rate various hugely from one type to another). What I am saying, and other mentioned as well, you would have been long gone by now if it were C.
However, from what you describe there might be a local issue (like chronic inflammation). This need to be taken care of (local anti-inflammatory, corticosteroids, etc). Don’t push on a biopsy if clinically not indicated. Biopsy is not good for the local tissue. As for imaging (CT, MRI), yes, that would help to rule out any concerns (and dissipate your fear). Among the 2, MRI is not harmful (CT = radiation), but also more expensive.
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Thank you all very much for
Thank you all very much for your replies. I truly do appreciate your thoughts and suggestions. I acknowledge that I likley do have health anxiety, but it has come about from the continued symptoms and lack of answers from doctors. Specifically, a lack of investigation. To have these symptoms continue and grow in intensity without any form of test to find out what might be causing them is what fuels my fear. The right ear pain and pressure continues daily. I will take your advice with me to my ENT appointment on Friday and hopefully he will at least consent to a CT or MRI to look for a possible cause, if not a biopsy.
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Feeling scared
Have you seen a dentist?? Just a thought that you might not have considered...
Good luck to you
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Hydration
I, too, have oddly asymmetrical tonsils. On the larger side, I've had bouts of itchy throat and sometimes a feeling of something stuck in there. More recently, on the other side, I've had mild ear pain and discomfort, ringing, a crackling sound, sometimes I can hear my pulse in that ear. Sometiems my neck feels funny on that side. I have even had bouts of vertigo. And even a few days ago, I had a parotid salivary gland stone that caused my face to swell and tingle and then went away. That was freaky.
Like you, most of these issues have been around for years with some changes and sometimes symptoms go away enough so I momentarily forget about them.
My husband had the HPV (potentially contagious) throat cancer so I'm always a bit freaked out about it and have visited the ENT a few times for reassurance. She always gets on my case about hydration. My husband and I joke that she's always hydration-shaming us.
She always recommends more water, twice daily Flonase, saline spray as often as I can rememeber to do it, and Mucinex to thin mucous. When I do this, my symptoms subside. The only explaination is that I have some weird issue with ear or sinus drainage, exacerbated by dehydration. All things are worse with dehydration.
Obviously, my situation may be completely different than yours but really, we all can have little body quirks that need some fine tuning and maybe that's all it is.
And it may help to reassure you that my husband had NO symptoms except a tumor when he was diagnosed. I think that is more common than not.
Good luck,
Helen
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Insurance
If anything like mine, the next step is an ultrasound.
At some point tho, you have to accept the opinions of these specialists, they studied for years, unlike us (and yes, all of us) who gained a degree overnight, by googling our symptoms. Google is both good and bad, it helped us find each other *hugs* but I really remember the day, I read the mortality page... that was the LAST day I read anything.
As others have said, if you had cancer, you wouldn't be here by now, and if you were, you'd be in a lot of pain.
An old saying my Mum used to say "Don't trouble trouble, until trouble, troubles you"
Words to live by - and stay off google
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Dr. GoogleSuzJ said:Insurance
If anything like mine, the next step is an ultrasound.
At some point tho, you have to accept the opinions of these specialists, they studied for years, unlike us (and yes, all of us) who gained a degree overnight, by googling our symptoms. Google is both good and bad, it helped us find each other *hugs* but I really remember the day, I read the mortality page... that was the LAST day I read anything.
As others have said, if you had cancer, you wouldn't be here by now, and if you were, you'd be in a lot of pain.
An old saying my Mum used to say "Don't trouble trouble, until trouble, troubles you"
Words to live by - and stay off google
Doctor Google cost me thousands of dollars a few years ago when I had convinced myself I had a fatal neurological disease. And as it turns out, I do have a neurological condition, but it's benign and simply annoying. If I had not Googled my symptoms, I never would have panicked. I agree ... stay off Google.
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Yep
I have been a nurse for 26 years. When I got diagnosis or started this process I refused to google anything about the cancer or treatment. Sure I read some literature on the subject that the Drs. and The UH Cancer Center gave me. Then I just tried to be the patient. I failed miserabley at that whole patient part. LOL. I guess I say just follow your cancer teams advised and the information provided. The internet is not so factual half of the time.
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Plus the odds on Head/Neck
Plus the odds on Head/Neck may or may not distinquish on HPV+. But, if I wasn't reading cancer stuff, I would probably be reading political stuff, and that's been linked to brain cancer.
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Saw the ENT
Well, I saw the ENT this morning, and now I'm feeling even more confused and scared. He scoped me and found three red bumps on my hypopharynx. He told us that he "typically wouldn't biopsy these" as they are usually indicative of some sort of infection. (I don't have an infection). He seemed very unconcerned by them. He told us that we had two choices: 1.) wait 6 weeks and come back to check on them again or 2.) get an MRI. Obviously, I chose the MRI. We left feeling pretty good knowing he wasn't concerned about these bumps and that I was getting the MRI. However, now that I"m home, I see on my electronic chart summary under diagnosis: "Neoplasm of the hypopharynx"! Everything I've read states this is definitely cancer. I don't understand. Did he immediately recognize this as cancer, but didn't want to scare me before getting the MRI to be sure? Why would he say he wouldn't normally biopsy nodules like this? Very nervous now.
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Too much time
I think you are spending too much time worrying about this. You are losing the joy in you life. If the lump in your neck started years ago, then by now it would be your whole neck, if by chance, you were even still alive. Also most oral cancer really have no real symptoms, pain, etc. Just the lump in the neck that gets larger at an alarming rate.
My husband is a tonsil cancer survivor of 4 years. Never had a sore throat, never any pain, just swollen lymph nodes in his neck for over 8 months
Also NEOPLASM: An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Neoplasms may be benign (not cancer)
You are letting your worry get to you, DO NOT LET it control you and take your life. You have seen many specialist whom have told you it is not cancer BELIEVE Them.
Sandy
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i agree with robswife87. I
i agree with robswife87. I know it's scary and not feeling well and not getting answers right away or getting answers you think may not be right can be so frustrating. But, relax. When my husband was diagnosed I naturall went to he very darkest point and was already planning what my life would be without him and we didn't really have any info other than they believed it was cancer. I talked to my aunt, she took care of her now deceased husband for 5 years, she told me to stop "future tripping". It was the best advice I have been given. You CANNOT control tomorrow. You cannot control the next day or the next month or the next year. I know it's easier said than done and believe me I still have to remind myself this on a daily basis. But try to stop. Honestly, it's almost unethical for a dr. To withhold vital info like a possible cancer diagnosis. I hardly think this dr would do that and act casual about someone's health and well being. You're getting an MRI and them you'll have more answers and hopefully a path to a solution.
I am going to suggest something and i hope this isn't too out of line; have you ever considered seeing a therapist for your fears? Someone that is completely neutral that can help you make sense of what's happening? I love therapy. I think everyone would do well with a dose of therapy every once in awhile.
Take heart of the responses you've received and what the dr told you. Breathe and enjoy today. Distract yourself with something fun. This is the only life you have. Live it. Prayers to you. We are here for you.
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